Inpatient Documentation Specialist I - Documentation Integrity

McLeod Health • Florence, SC

6h

About The Position

Responsible for improving the overall quality and completeness of clinical documentation.
Facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to ensure that appropriate reimbursements is received for the level of service rendered to all patients with a DRG based payer (Medicare, Medicaid, and others).
Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes.
Educates all members of the patient care team on an ongoing basis.

Requirements

• Minimum of three years recent clinical experience
• Experience in utilization review, coding, or case management
• Registered Nurse

Responsibilities

• Improving the overall quality and completeness of clinical documentation.
• Facilitating modifications to clinical documentation through interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff.
• Ensuring appropriate reimbursements are received for the level of service rendered to all patients with a DRG based payer.
• Ensuring the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes.
• Educating all members of the patient care team on an ongoing basis.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees